{ "resourceType" : "CoverageEligibilityResponse", "id" : "discovery-example-01", "meta" : { "profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: CoverageEligibilityResponse discovery-example-01

Language: en

Profile: CoverageEligibilityResponse

status: Active

purpose: Coverage Discovery

patient: ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)

created: 2023-09-11

requestor: Practitioner Dr. DEF

request: CoverageEligibilityRequest: identifier = 7612345; status = active; priority = Normal; purpose = discovery; created = 2023-09-07 11:01:00+0500

outcome: Processing Complete

disposition: Policy is currently in-force.

insurer: Organization XYZ Insurance Co. Ltd.

Insurances

-CoverageInforceBenefitPeriod
*Coverage: identifier = https://xyzinsurance.in/policynumber/#235037120; status = active; type = PAY; subscriberId = ABC123456BI007; relationship = Self; period = (?) --> 2026-03-17true2023-09-07 --> 2026-08-07
" }, "status" : "active", "purpose" : ["discovery"], "patient" : { "reference" : "Patient/example-01" }, "created" : "2023-09-11", "requestor" : { "reference" : "Practitioner/example-01" }, "request" : { "reference" : "CoverageEligibilityRequest/discovery-example-01" }, "outcome" : "complete", "disposition" : "Policy is currently in-force.", "insurer" : { "reference" : "Organization/example-02" }, "insurance" : [{ "coverage" : { "reference" : "Coverage/example-01" }, "inforce" : true, "benefitPeriod" : { "start" : "2023-09-07", "end" : "2026-08-07" } }] }